abeaty
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it was a life saver, not I.
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Ackley is the nursing diagnosis book that was required for my program. I was a life saver!!! Like everything she said above, a nursing diagnosis and interventions are something you as a nurse can do something about without needing an order.
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We were always to taught that a nursing diagnosis had to be written as follows: Fluid volume deficit related to osmotic diuresis as evidenced by tachycardia, increased respirations....you get the picture. we just alway had to have nursing diagnosis r/t aeb
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you need to know if there is a DNR and a POA for the son. Other than that just make the patient care plan as if you are helping him because until a professional interpreter arrives that is what you will have to do.
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Studying this right now too. I would go with BP, remember your ABC's always come first as priority for post op/post procedure.